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TIMOTHY A SMOLENYAK P.A.-C
NPI 1396711537
Physician Assistant in Whitehall, PA

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
3691 CRESCENT CT E, STE 201, WHITEHALL, PA 18052(610) 434-9561(610) 434-5122 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy A Smolenyak P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY A SMOLENYAK P.A.-C (NPI 1396711537) is an individual physician assistant in Whitehall, Pennsylvania, licensed in Pennsylvania (MA051223) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1396711537
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY A SMOLENYAKCredential: P.A.-C
Location Address3691 CRESCENT CT E, STE 201Whitehall, PA 18052-3433
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Phone(610) 434-9561
Fax(610) 434-5122
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJanuary 5, 2016
✔ NPI 1396711537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA051223
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3691 CRESCENT CT E, Whitehall, PA 18052
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Other Identifiers 2

Medicare UPINP80681
Medicare ID-Type Unspecified067124

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy A Smolenyak P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739184896
PECOS Enrollment IDI20061106000482
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
408 services391 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
191 services183 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
120 services120 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA A. DEANGELIS DO
Family Medicine
3691 CRESCENT CT E
WHITEHALL, PA 18052
Lehigh County (610) 434-9561
JENNIFER LAURA STOCKHAUSEN DO
Family Medicine
3691 CRESCENT CT E
WHITEHALL, PA 18052
Lehigh County (610) 434-9561
LEHIGH VALLEY PHYSICIAN GROUP
Family Medicine
3691 CRESCENT CT E, SUITE 201
WHITEHALL, PA 18052
Lehigh County (610) 434-9561
HEALTH CARE ASSOCIATES, P.C.
Family Medicine
3691 CRESCENT CT E, SUITE 201
WHITEHALL, PA 18052
Lehigh County (610) 434-9561
HEALTH CARE ASSOCIATES, P.C.
Family Medicine
3691 CRESCENT CT E, SUITE 100
WHITEHALL, PA 18052
Lehigh County (610) 434-4294
ANTHONY F FRIENDY PA-C, M.S.
Physician Assistant (Medical)
3691 CRESCENT CT E
WHITEHALL, PA 18052
Lehigh County (610) 434-9561
MARY K MITCHELL DO
Family Medicine
3691 CRESCENT CT E, SUITE 100
WHITEHALL, PA 18052
Lehigh County (610) 434-4294
DEBRA P GOODWIN PAC
Physician Assistant
3691 CRESCENT CT E, STE 201
WHITEHALL, PA 18052
Lehigh County (610) 434-9561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Smolenyak's NPI number?

The NPI number for Timothy Smolenyak is 1396711537. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Timothy Smolenyak located?

Timothy Smolenyak practices at 3691 Crescent Ct E Ste 201, Whitehall, PA 18052. The listed phone number is (610) 434-9561.

What is Timothy Smolenyak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Smolenyak enrolled in Medicare?

Yes. Timothy Smolenyak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Smolenyak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Timothy Smolenyak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Smolenyak affiliated with any hospitals?

According to CMS data, Timothy Smolenyak is affiliated with Schuylkill Medical Center - South Jackson Street and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Smolenyak was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.